Fainting
Statistically, this percentage of patients will pass out or faint during or immediately following a blood draw.
What is 2.5%?
The first choice of tool for any venipuncture.
What is the evacuated system?
The area of the lab that primarily utilizes blue top tubes for testing.
What is coagulation studies?
This error type is one of the most dangerous for patients, and one of the most easily preventable.
What are patient identification and label errors?
Less than 3%
What is our goal for hemolysis rates?
A sudden drop in blood pressure, and not enough oxygen to the brain.
What is the most common reason a patient passes out?
The most common needle size for the evacuated system.
What is 21 gauge?
This is the indicator that the phlebotomist has collected the minimum volume of blood required for appropriate test analysis when using a blue top tube.
What is the minimum fill line indicator?
This is the correct way to have the patient help with the identification process.
What is: Have the patient both state and spell both first and last name, and have the patient state their date of birth?
The break down of red blood cells that causes erroneous blood test results.
What is hemolysis?
This is the safest position to collect blood from a patient with a history of fainting.
What is recumbent? (Lying down, in a recliner also acceptable answers)
______ on evacuated tubes are based on when they may lose their vacuum and hence not fill properly or when they may no longer be sterile.
What are expiration dates?
This happens if the phlebotomist over fills blood into a blue top tube over the maximum fill line indicator or under the minimum fill line indicator.
What is incorrect results due to improper blood to anti-coagulant ratio and a redraw for the patient?
True or False: It is okay to label in the hallway after the blood draw if you are in a hurry.
FALSE all labeling must be completed in the presence of the patient. Final check must be completed EVERY TIME with a labeled sample in the presence of the patient.
This is the date that the FLU SHOT is due for employees at Bronson.
Prior to 12/1/2023
This is the report that must be completed after taking care of a patient who has fainted.
What is a Patient Safety Report?
______ check the expiration date of the evacuated collection tube and other supplies prior to use.
What is "Always"?
True or False, if the nurse instructs you to "send down" a blue top tube that is filled below the minimum level, that means the lab can run it.
False. Under-filled blue tops always result in incorrect test results, and will be rejected. A redraw will be needed.
______ Scan the Wristband when collecting inpatients.
What is ALWAYS?
Asking a patient ____during blood draw actually increases their risk of fainting?
What is if they faint ?
Instead, try asking “What experiences have you had with having your blood drawn?” If they let you know that they sometimes faint, your next step is to complete the blood draw while the patient is in a reclining position.
These are at least three of the signs a patient is about to faint:
What are:
The use of this needle type is known to produce higher hemolysis rates, be more costly, and increase the rate of needle stick injuries
What are butterfly needles?
True or False.
I can use blood from 2 seperate pokes to fill the same blue top on a patient that is a hard draw.
FALSE- the blood collected from the blue top must all come from the same veniouncture.
_______ adverse patient events occur annually in the US due to patient or specimen ID errors involving the lab
What is 160,000?
True or false if a nurse hands me unlabeled blood I can just send it down to the lab as long as there is an order in the bag.
FALSE- we cannot accept unlabeled samples. This would be rejected as a mislabel.